[摘要] 目的 探讨基于心理灵活性的心理治疗模型对肺癌患者癌因性疲乏的影响。方法 选取2022年3月至2023年12月浙江省肿瘤医院收治的60例肺癌患者作为研究对象，采用随机数字表法分为对照组（n=30）和研究组（n=30）。对照组给予常规心理干预，研究组在此基础上采用基于心理灵活性的心理治疗模型进行干预，比较两组患者的焦虑和抑郁自评量表、自我感受负担、应对方式及癌因性疲乏各项评分。结果 干预后，两组患者的焦虑和抑郁自评量表评分，自我感受负担各项评分、癌因性疲乏各项评分均降低，且研究组降低更显著，差异有统计学意义（Plt;0.05）。两组患者的应对方式各项评分均改善，且研究组改善更显著，差异有统计学意义（Plt;0.05）。结论 在肺癌患者中开展基于心理灵活性的心理治疗模型进行干预，可减轻患者的负性情绪、自我感受负担及癌因性疲乏，改善患者的应对方式。

[关键词] 癌因性疲乏；心理灵活性；心理治疗模型；肺癌

[中图分类号] R737.3" """"[文献标识码] A """""[DOI] 10.3969/j.issn.1673-9701.2025.20.004

Study on the effect of psychological flexibility intervention on cancer-related fatigue in lung cancer patients

XU Mengyuan， XU Yingping， SHEN Xiaoying

Department of Surgery， Zhejiang Cancer Hospital， Hangzhou 310022， Zhejiang， China

[Abstract] Objective To explore the effect of psychological flexibility based psychotherapy model on cancer-related fatigue in lung cancer patients. Methods A total of 60 lung cancer patients admitted to Zhejiang Cancer Hospital from March 2022 to December 2023 were selected as research subjects. They were divided into control group （n=30） and study group （n=30） by using a random number table method. Control group received routine psychological intervention， while study group was treated with a psychological flexibility-based therapy model in addition to the routine intervention. The scores of anxiety self-rating scales， depression self-rating scales， perceived burden， coping strategies， and cancer-related fatigue were compared between two groups. Results After intervention， the self-assessment scale scores of anxiety and depression， self-perceived burden and cancer-related fatigue in both groups decreased， and the reduction was more significant in study group （Plt;0.05）. The coping style scores of both groups improved， and the improvement was more significant in study group （Plt;0.05）. Conclusion Intervention with a psychological flexibility-based psychotherapy model in lung cancer patients can reduce negative emotions， self-perception burden and cancer-related fatigue， and improve patients’ coping style.

[Key words] Cancer-related fatigue; Psychological flexibility; Psychotherapy model; Lung cancer

肺癌是临床常见的恶性肿瘤之一，随着医学治疗手段的不断进步，肺癌的治疗方法日益多样化，包括手术、放疗、化疗及靶向治疗等。然而，这些治疗手段往往伴随着一系列不良反应，如疼痛、睡眠障碍、消化道反应及癌因性疲乏等；尤其是癌因性疲乏及其引发的焦虑、抑郁等精神症状，成为患者在治疗过程中最为困扰的不良反应之一^[1]。尽管疼痛和消化道反应等症状可通过药物进行缓解，但目前对癌因性疲乏的干预效果并不理想^[2-3]。……